Does muscle repair automatically comes with TT or does it have to be requested with the TT?

One of the main reasons to perform a tummy tuck is to plicate the rectus fascia, i.e., tighten the muscles for a flat profile.  Some patients do not need this and only have excess skin that needs to be removed but it is a minority.  

Hello and thank you for your question.  The
best advice you can receive is from an in-person consultation.  I always discuss muscle repair with my patients prior to surgery.  It is a very important aspect of a tummy tuck for almost all of my patients.   Make sure you specifically look
at before and after pictures of real patients who have had this surgery
performed by your surgeon and evaluate their results.   The most
important aspect is to find a surgeon you are comfortable with. I recommend
that you seek consultation with a qualified board-certified plastic surgeon who
can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon